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w, o. raw a <br /> CITY OF pE�VERETT--Water Dept. <br /> Application No...lf?.RU.. Date..... ......................... 19. 5l <br /> Install...............................inch water service pipe <br /> . For ...................«......_.............. <br /> _..... <br /> 3/� — .................. .................................................. Street <br /> On ............:..........«..... <br /> Lot.................................................».......... Block No............................... <br /> Addition ......................................................................................................... <br /> Remarks ..............................................................................«.................. <br /> .............................................................__........................................................ <br /> .................................................................................«..««.».........................»..—.. <br /> ............................................................................... <br /> ............................................... Superintendent <br /> LABOR AND MATERIAL USED <br /> No, Size <br /> .....»......_..„,....._......................... Lend Connection Complete <br /> .......-......».«»_.......................... Saddle Complete <br /> ..............pipe <br /> ............. <br /> .......... Service Service Cock <br /> .._...»..«....._ <br /> 1-1....... Service Box <br /> No. Hours Labor........................................CosL..»..»»».._........._............0....... <br /> Cul In....................Pavement......_.._.__..X..................... .....«.»._...0...Sq. <br /> FL <br /> ............. .......«»....0....... <br /> . " <br /> Total ........................Sq.Ft. <br /> Remarks....................................................................................... <br /> ...................... <br /> .......................................................................................................................« <br /> ......._........................................................................................................-....,.. .. <br /> OrderReceived.............................................. ........................................... <br /> Work Completed-................ <br /> ........ ................ ............... <br /> Forcmnn <br /> i <br />